Health insurance cost control (111 - 120 of 407 items)
Health Insurance Standards: New Federal Law Creates Challenges for Consumers, Insurers, Regulators
HEHS-98-67: Published: Feb 25, 1998. Publicly Released: Mar 10, 1998.
Pursuant to a congressional request, GAO reviewed the implementation of the Health Insurance Portability and Accountability Act (HIPAA), focusing on issues affecting: (1) consumers; (2) issuers of health coverage, including employers and insurance carriers; (3) state insurance regulators; and (4) federal regulators. GAO also reviewed efforts undertaken by federal agencies to address some of the co...
Retiree Health Insurance: Erosion in Retiree Health Benefits Offered by Large Employers
T-HEHS-98-110: Published: Mar 10, 1998. Publicly Released: Mar 10, 1998.
GAO discussed the erosion in employer-based health benefits for retirees, especially early retirees, focusing on: (1) trends in access to employer-sponsored retiree health benefits; (2) the impact on retirees of an employer's decision to terminate health benefits; and (3) federal safeguards that protect the rights of retirees who have health benefits.GAO noted that: (1) retiree access to and parti...
Medigap Insurance: Compliance With Federal Standards Has Increased
HEHS-98-66: Published: Mar 6, 1998. Publicly Released: Mar 6, 1998.
Pursuant to a legislative requirement, GAO reviewed insurers' compliance with Medigap loss ratios and standards, focusing on: (1) the overall Medigap market; (2) which Medigap policies had loss ratios below the standards in 1994 and 1995; and (3) which policies resulted in refunds or credits, or, if not, why.GAO noted that: (1) from 1988 through 1995, the Medigap insurance market grew from $7 bill...
Medical Savings Accounts: Findings From Insurer Survey
HEHS-98-57: Published: Dec 19, 1997. Publicly Released: Dec 19, 1997.
Pursuant to a legislative requirement, GAO competitively awarded four contracts to study Medical Savings Accounts (MSA), including consumer choice and the scope of high-deductible plans purchased in conjunction with MSAs.GAO noted that the: (1) first phase of the study has been completed and is included in this report; and (2) final report of the MSA study will be submitted, as provided in the law...
Medicare Fraud and Abuse: Summary and Analysis of Reforms in the Health Insurance Portability and Accountability Act of 1996 and the Balanced Budget Act of 1997
HEHS-98-18R: Published: Oct 9, 1997. Publicly Released: Oct 9, 1997.
Pursuant to a congressional request, GAO: (1) summarized the anti-fraud and abuse reforms enacted in the Health Insurance Portability and Accountability Act (HIPAA) and Balanced Budget Act (BBA); and (2) determined whether and how the legislation responds to GAO recommendations and those of the Department of Health and Human Services (HHS) Inspector General.GAO noted that: (1) the provisions in HI...
Medicaid: Three States' Experiences in Buying Employer-Based Health Insurance
HEHS-97-159: Published: Jul 25, 1997. Publicly Released: Aug 26, 1997.
Pursuant to a congressional request, GAO examined selected states considered to be successful in implementing section 1906 of the Social Security Act, focusing on: (1) the extent to which these states are purchasing employer-based health insurance for Medicaid-eligible individuals and achieving budgetary savings, as well as the potential for greater savings; (2) the cost-effectiveness criteria the...
Private Health Insurance: Continued Erosion of Coverage Linked to Cost Pressures
HEHS-97-122: Published: Jul 24, 1997. Publicly Released: Jul 24, 1997.
Pursuant to a congressional request, GAO reviewed major trends in the private health insurance market, during the 1980s and 1990s, focusing on: (1) the decline in private health insurance coverage and factors contributing to this decline; (2) trends in health insurance premiums and reasons for these trends; and (3) employer's efforts to control health benefits costs.GAO noted that: (1) private hea...
Health Financing and Systems Issues Issue Area Plan--Fiscal Years 1998-2000
IAP-97-13: Published: Jul 1, 1997. Publicly Released: Jul 1, 1997.
GAO provided information on its Health Financing and Systems issue area plan for fiscal years 1998 to 2000.GAO plans to examine: (1) actions to improve the management and financial integrity of the Medicare and Medicaid programs; (2) new strategies for paying for Medicare and Medicaid services that promote cost containment while preserving quality and access; (3) how financing arrangements affect...
Medicare HMOs: Setting Payment Rates Through Competitive Bidding
HEHS-97-154R: Published: Jun 12, 1997. Publicly Released: Jun 12, 1997.
GAO reviewed the Health Care Financing Administration's (HCFA) proposed use of competitive bidding as an alternative method for setting Medicare health maintenance organization (HMO) payment rates, focusing on: (1) the potential advantages of competitive bidding in the Medicare HMO program; (2) the main features of HCFA's planned competitive bidding demonstration in Denver; and (3) HMO's key objec...
Comments on H.R. 4229: A Proposal for a Home Health Prospective Payment System
HEHS-97-144R: Published: May 28, 1997. Publicly Released: Jun 4, 1997.
Pursuant to a congressional request, GAO reviewed H.R. 4229, introduced in the 104th Congress, which would require the Health Care Financing Administration (HCFA) to establish, after congressional approval, a prospective payment system (PPS) for Medicare home health care 4 years after enactment that would pay fixed rates for episodes of care.GAO noted that: (1) home health agencies (HHA) would be...